Şehir suyudaki klora bağlı gelişen astım atakları: olgu sunumu
Yüzücülerde astım benzeri semptomlarla seyreden bronşiyal aşın duyarlılık yüksek oranlarda gözlenmektedir. Fakat klorlanmış suların kullanımına bağlı olarak gelişen astım benzeri klinik tablo ise nadir görülmektedir. Klor güçlü bir okside edici ajan olup, yüksek dozlarda temas edildiğinde yüzücülerde, klor ile ilgili işlerde çalışanlarda ve ev ortamında erkek veya kadınlarda değişik seviyelerde rahatsızlıklar görülebilmektedir. Çalışmamızda, özgeçmişinde atopi ve astım öyküsü olmayan ve kronik klor temasına bağlı solunumsal yakınmaları olan bronşiyal hiperreaktiviteli iki olguyu sunmaktayız. Klorlanmış sularda klorun yüksek dozlarda bulunması ve kullanılması durumunda, duyarlı kişilerde havayolu aşırı duyarlılık semptomları oluşturan önemli bir ev içi irritan faktördür. Klorla temasın devam etmesi, klinik yakınmalarında uzun sürmesine neden olmaktadır.
Attacks of asthma due to chlorinized water: case report
The presence of a high prevalence of bronchial hyperresponsiveness and asthma-like symptoms in swimmers has been reported. But, attacks of asthma which is related to chlorinized water is rare. Chlorine, a strong oxidizing agent, is an important toxic gas that the swimmer can breath during swimming and a worker can exposed to chlorine while he or she was using water with chlorine at home. We describe a persistent increase in nonspecific bronchial hyperresponsiveness following chronic exposure to strong respiratory irritant with chlorinized water in two subjects with no past history of asthma or atopy. We conclude that airway hyperresponsiveness can develop or increase after chronic inhalation of high concentrations of irritants such as chlorinized water an indoor irritant factor and that these changes may be prolonged.
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